Flashcards in General Deck (294)
History of the Presenting Complaint
O, M, P, P, P, Q, R, S, S, T, A
Mechanism of injury
Previous care: Did you have any treatment for this? If so, what? Was it helpful?
Severity: how does this complaint affect your daily living activities
Past medical history
S, L, I, M, H, D
Serious Illness: What and when
Last physical exam: When? Anything noteworthy?
Injuries/accidents/trauma: what and when?
Medications: What, how much, for what?
Hospitalizations/surgeries: When, why?
Diagnostic imaging: X-rays or images taken recently? What did they show
Family and social history:
M, C, F, D, E, A (CAGE), R, S, H, O, T, S
Alcohol: cut down? annoyed by criticism of your drinking? Guilty about your drinking? Early morning eye opener drink?
Stress: 0-10 and what
C, A, N, G, R, EENT, G, P, N, C, H, M, E
Constitutional: fatigue, weight loss, weight gain, fever
Allergy/immunological: Allergic? Sick easily/frequently? Take long to recover?
Neck: Problems in neck, swollen glands, neck stifness
GI: Nausea, vomiting, abdominal pain, diarrhea, constipaion? Colour of stool? Blood in stool? Jaundice? Black tarry stool?
Respiratory: Cough, SOB, chest pain?
EENT: eyesight, hearing, balance, problems swallowing
Genitourinary: problems with urine? Discharge from private parts? Wake up to pee? Dribble?
Psychological: sad? loss of interest? describe your mood
Integumentary: problems with skin? Itching, dark spots, sores?
Neurological: headaches? Dizziness? Lightheaded? Weakness? Numbness or tingling? Falls?
Cardiovascular: chest pain palpitations or ankle swelling
Hematological/lymphatic: Easy bruising? Lumps in armpit or groin?
Musculoskeletal: any pan in your muscle? Soreness? Stiffness? Cramps?
Endocrine: Increased thirst or intolerance to heat or cold? Any change in hat or shoe size?
C, R, I, M, E, S
Concern: what bothers you most about this
Reason for visit
Ideas: What do you think is the cause of your problem?
Meaning to illness: if your body was trying to send you a message through this illness, what do you think your body would be trying to tell you?
Expectations: What would you like me to do for you today?
Support: what support do you have at home? Family? Friends? Finances? Faith?
What age of people get DJD? Disc herniations? Strain/sprain?
Do males or females more commonly get: Osteoporosis? AAA? SLE/RA? BPH?
T/F: Obesity does not contribute to DJD, diabetes, hypertension?
False it so does
Which ethnic background is more likely to get sickle cell disease? Tay Sachs?
Acute is how many months? Chronic? Which has a better prognosis?
What type of injury is likely to occur with a rear end collision? Rotation and extension or lateral bend and extension?
What type of injury is suspected if flexion aggravates pain? Lateral bend and extension?
What type of injury is suspected if rest relieves pain? Not better with rest or NSAIDs?
Burning is associated with what type of pathology? Deep dull ache?
Bone or muscle
Radiation pattern pathology for dermatomal? Loin to groin? Chest to left arm?
Pain worse at night pathologies?
Bone cancer or osteomyelitis
T/F Hyperflexion and hyperextension can cause vertebral fractures?
Lipitor side effect? Diuretics?
Immunizations may be linked with what syndrome?
Foods rich in omega 6 make OA or RA worse?
T/F alcohol abuse can lead to AVN, pancreatitis, psychological stress?
IV drug use can lead to what bone pathology?
What drug can lead to an MI in a young adult?
Asbestosis = ??
Miners are prone to getting?
Tobacco use increases your chance of getting which cancers?
Lung, bladder, esophageal cancers
Clay coloured stool is suggestive of what condition?
Blood in sputum is suggestive of?
TB or lung cancer
List the pathology associated with:
Red shin bumps